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Nonprofiteer
← MEDICAID SCHIP DENTAL ASSOCIATION

Form 990 for tax year 2022

Filed by MEDICAID SCHIP DENTAL ASSOCIATION.

Totals

Total revenue
$595,362
Total expenses
$661,303
Contributions and grants received
$240,879
Grants paid
$0
Program service revenue
$354,483
Investment income
$0
Other revenue
$0
Total assets, end of year
$257,734
Total liabilities, end of year
$1,709
Net assets or fund balances, end of year
$256,025
Program services expenses (Part IX)
$656,939
Management and general expenses
$4,364
Fundraising expenses
$0
Program service expenses (Part III)
$656,939

Program services were 99.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1b · Membership dues

    $240,879

  • 2a · Program service revenue: PROJECT INCOME

    total $354,483 · related or exempt $354,483

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $161,651 · program services $161,651

  • 7 · Other salaries and wages

    total $167,947 · program services $167,947

  • 8 · Pension plan contributions

    total $17,037 · program services $17,037

  • 9 · Other employee benefits

    total $54,363 · program services $54,363

  • 10 · Payroll taxes

    total $26,171 · program services $26,171

  • 11a · Fees: management

    total $1,260 · management and general $1,260

  • 11b · Fees: legal

    total $850 · program services $850

  • 12 · Advertising and promotion

    total $1,052 · program services $1,052

  • 13 · Office expenses

    total $10,599 · program services $10,599

  • 14 · Information technology

    total $3,443 · program services $3,443

  • 16 · Occupancy

    total $26,066 · program services $26,066

  • 17 · Travel

    total $17,753 · program services $17,753

  • 22 · Depreciation, depletion and amortization

    total $1,394 · program services $1,394

  • 23 · Insurance

    total $3,173 · program services $2,107 · management and general $1,066

  • 24a · Other expenses: SYMPOSIUM EXPENSES

    total $148,913 · program services $148,913

  • 24b · Other expenses: WEBSITE

    total $9,903 · program services $9,903

  • 24c · Other expenses: PAYROLL PROCESSING

    total $2,410 · program services $2,410

  • 24d · Other expenses: BANK FEES

    total $2,384 · program services $2,384

  • 24e · All other expenses

    total $4,934 · program services $2,896 · management and general $2,038

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $322,560 · end of year $255,124

  • 9 · Prepaid expenses and deferred charges

    end of year $1,633

  • 10a · Land, buildings and equipment: cost or other basis

    $17,730

  • 10b · Land, buildings and equipment: accumulated depreciation

    $16,753

  • 10c · Land, buildings and equipment, net

    beginning of year $1,115 · end of year $977

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,709 · end of year $1,709

  • 27 · Net assets without donor restrictions

    beginning of year $321,966 · end of year $256,025

Mission and programs · 2022

Mission

TO DEVELOP, PROMOTE, AND PROMULGATE EVIDENCE AND BEST PRACTICES BASED ON STATE AND NATIONAL MEDICAID MEDICARE CHIP ORAL HEALTH POLICIES AND PRACTICES.

Activities or mission (Part I)

EVIDENCE AND BEST PRACTICES BASED ON STATE AND NATIONAL MEDICAID, MEDICARE, CHIPS ORAL HEALTH POLICIES AND PRACTICES.

  • THE ORGANIZATION CONDUCTED AN ANNUAL SYMPOSIUM TO EDUCATE AND PROVIDE TECHNICAL ASSISTANCE TO STATE MEDICAID MEMBERS, TO MEDICARE MEMBERS, TO CHIP MEMBERS, AND TO OTHER DENTAL PROFESSIONAL STAKEHOLDERS.

    Expenses $656,939

As filed on the 2022 return.

Listed in Part VII

  • Mary Foley

    EXECUTIVE DI

    Total calculated
    $194,943
    From this org
    $161,551
    From related orgs
    $0
    Other
    $33,392
    Hours/week
    38

    Schedule J breakdown matched by us

    Base
    $161,551
    Bonus
    not reported
    Other
    not reported
    Deferred
    $33,392
    Nontaxable benefits
    not reported
    Filer's total
    $194,943

  • Marty Dellapenna

    STAFF

    Total calculated
    $151,713
    From this org
    $124,924
    From related orgs
    $0
    Other
    $26,789
    Hours/week
    38

    Schedule J breakdown matched by us

    Base
    $124,924
    Bonus
    not reported
    Other
    not reported
    Deferred
    $26,789
    Nontaxable benefits
    not reported
    Filer's total
    $151,713

  • Mindy Broda

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Jeff Chaffin DDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Scott Cashion DDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Michele Griguts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Sarah Finne DMD MPH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Marisa Watanabe DDS Ms

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Robyn Olson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Holli Seabury PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Elizabeth Pitts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Kevin Thomas

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Jennifer Wiser

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • Margaret Delmore MD DDS

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    5

  • Heather Miller

    PRESIDENT

    Total calculated
    $0
    Hours/week
    5

  • Shirley A Spater

    SECRETARY/TR

    Total calculated
    $0
    Hours/week
    5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
31 January 2024
IRS schema version
2022v5.0
Source object
202440419349300809

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